QA & Compliance Lead, Public Programs & Audit Readiness

GoFusion; Baltimore (MD); Hybrid; USD 110,000 - 150,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Job summary

Fusion Advanced Technology, LLC in Baltimore seeks a motivated QA & Compliance Lead to design and oversee the quality assurance and compliance review program across MSDE case management, provider payment processing, and customer service.

You will lead audits, develop scorecards, monitor trends, and report monthly results to internal teams and state reviewers, ensuring timely, accurate operations and regulatory readiness.

Qualifications

• Bachelor’s degree preferred; 6+ years in admin, quality, audit, or compliance.
• Experience leading QA or control functions.
• Experience with regulated public programs is preferred.

Responsibilities

• Establish QA plans, review standards, scorecards, and control routines.
• Lead sample reviews, secondary reviews, trend analysis, and corrective-action planning.
• Coordinate QA findings with operations leaders, training, program integrity, and reporting teams.
• Support audit readiness, record reviews, and compliance with evidence requests.
• Monitor SLA-related quality trends and identify patterns affecting timeliness or accuracy.
• Prepare monthly QA and compliance reporting for internal and State review.

Skills

QA leadership

Regulatory compliance

Root-cause analysis

Training development

Quality dashboards

Audit support

Education

Bachelor's degree preferred

Job description

Fusion Advanced Technology, LLC in Baltimore seeks a motivated QA & Compliance Lead to design and oversee the quality assurance and compliance review program across MSDE case management, provider payment processing, and customer service.

You will lead audits, develop scorecards, monitor trends, and report monthly results to internal teams and state reviewers, ensuring timely, accurate operations and regulatory readiness.